Individual
BONNIE SUE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N,
Contact information
Practice address
2665 FIVE POINTS RD, JACKSON, OH 45640-9532
(740) 286-7153
Mailing address
2665 FIVE POINTS RD, JACKSON, OH 45640-9532
(740) 286-7153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-091944
OH
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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